Does Optica Accept NHIF? Yes! Here’s Guide

does optica accept nhif

Optica, a leading optical services provider in Kenya, has recently announced that they now accept National Hospital Insurance Fund (NHIF) insurance at their Optica House location on Moi Avenue in Nairobi. This move has made Optica the first optical store in Kenya to accept NHIF insurance, providing comprehensive schemes for civil servants. In this blog post, we will explore the implications of this development and how it may impact the optical services industry in Kenya.

NHIF and Optical Services

The National Hospital Insurance Fund (NHIF) is a government-sponsored initiative that provides healthcare services to its members, including eye treatment and optical glasses.

However, optical services have been missing from NHIF’s offerings since the upward review of contributions in 2015.

The proposed law aims to change this by including optical services under the fund. If passed, the law would allow any contributor, their named spouse, child, or other named dependent to access treatment for eye diseases and refraction.

Most insurance firms offer limits of between Sh25,000 and Sh40,000 annually.

Optica’s Acceptance of NHIF Insurance

Optica's Acceptance of NHIF Insurance

Yes, Optica accepts NHIF insurance.

Optica’s decision to accept NHIF insurance at their Optica House location on Moi Avenue in Nairobi is a significant step forward for the optical services industry in Kenya.

This move makes Optica the first optical store in the country to offer NHIF-covered services, providing comprehensive schemes for civil servants. The Optica House location is the only place where NHIF insurance is accepted, and visitors can find out more about NHIF insurance at Optica.

However, Optica does not accept insurance on online orders.

List of Optical Insurance Companies and Providers Accepted by Optica

Optica currently accepts a wide range of insurance companies and providers, including AAR Health Care, AAR Insurance Kenya, AETNA International, Africa Medilink, Allianz Care, APA Insurance, Avenue Healthcare Administrators, Britam Insurance, Bupa Global, Carepay, CIC Insurance, Cigna International Health Services, Co-operative Bank, DOD (Department of Defence), Eagle Africa Insurance Kenya Ltd., Equity F, GA Assurance, Gertrude’s Garden Children’s Hospital, Heritage Insurance, HENNER International Health Services, ICDC, Pacific Insurance, Pacis Insurance, Parliamentary Service Commission (PSC), Pioneer Assurance, Sanlam Insurance, Sedgwick T, Takaful Insurance of Africa Limited, Tata Chemicals Limited, University of Eldoret, and many more.

How to claim insurance at Optica

To claim insurance at Optica, you need to visit their physical location with your medical insurance card and national ID card. If you have corporate cover, it is recommended to check with your HR department or insurance company to find out about the coverage.

Optica accepts many medical insurance schemes, including NHIF insurance for civil servants at their Optica House location on Moi Avenue in Nairobi.

However, they do not accept insurance on online orders.

Optica will process your claim within 30 days from the date received, and they will mail your check to the insured’s mailing address listed on file.

To apply for reimbursement, you need to complete an out-of-network claim form, attach your itemized receipt, and submit the claim form and receipt to your vision insurance company.

To qualify to accept vision insurance from customers, you need to get credentialed with the assorted insurance companies.

what other optical stores in nairobi accept nhif

There are several optical stores in Nairobi that accept NHIF insurance. Another optical store that accepts NHIF insurance is NHIF Optician KK Optics & Optical Store, which is located in the NHIF Building in Nairobi[1]. Other NHIF-accredited opticians in Nairobi include Odyssey Opticians Ltd, City Eye Hospital, Trust Opticians Ltd, and Dr Agarwal’s Eye Hospital.


Optica’s acceptance of NHIF insurance at their Optica House location on Moi Avenue in Nairobi marks a significant milestone for the optical services industry in Kenya. This development could potentially lead to increased access to eye treatment and optical glasses for NHIF members, as well as increased competition in the optical services market. As more insurance companies and providers are accepted by Optica, the future of optical services in Kenya looks brighter and more accessible to the general public.

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